Healthcare Provider Details

I. General information

NPI: 1609275213
Provider Name (Legal Business Name): MEGAN LYNN MCKEEGAN MA, LMHC, MHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 MAPLE AVE SW STE 210
RENTON WA
98057-3132
US

IV. Provider business mailing address

1501 25TH STREET PL SE
PUYALLUP WA
98372-5180
US

V. Phone/Fax

Practice location:
  • Phone: 541-566-6641
  • Fax:
Mailing address:
  • Phone: 541-566-6641
  • Fax: 425-663-4134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60656781
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: